首页> 外文期刊>Current urology reports. >A urogynecologist's view ofthe pelvic floor effects of vaginal delivery/cesarean section for the urologist.
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A urogynecologist's view ofthe pelvic floor effects of vaginal delivery/cesarean section for the urologist.

机译:妇科医生对泌尿科医师阴道分娩/剖宫产的骨盆底影响的看法。

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摘要

Pregnancy and parturition have been implicated in the development of pelvic floor dysfunction. These disorders include urinary incontinence, fecal incontinence, pelvic organ prolapse, and other pelvic and sexual dysfunctions. The urologist caring for women with urinary dysfunction needs to be familiar with the causes of pelvic floor dysfunction and their implications. Defects of the pelvic floor have clearly resulted from the traumatic effect of vaginal delivery. The likely mechanisms of injuries during vaginal delivery involve stretching and compression of the pudendal nerve and peripheral branches, as well as an additional tearing of muscles and connective tissue. Optimal management of labor and optimal techniques of repair of unavoidable sphincteric lacerations, ante- and postpartum pelvic floor muscle conditioning, and timely and proper indications for cesarean delivery will minimize the effect of incidental traumatic delivery.
机译:妊娠和分娩与骨盆底功能障碍的发展有关。这些疾病包括尿失禁,粪便失禁,盆腔器官脱垂以及其他盆腔和性功能障碍。照顾有泌尿功能障碍女性的泌尿科医生需要熟悉骨盆底功能障碍的原因及其影响。显然,阴道分娩的创伤作用导致了骨盆底的缺陷。阴道分娩期间可能的伤害机制包括阴部神经和周围分支的拉伸和压缩,以及肌肉和结缔组织的额外撕裂。最佳的人工管理和修复不可避免的括约肌撕裂伤,产前和产后骨盆底肌肉调理的最佳技术以及及时适当的剖宫产指征将使意外的创伤性分娩的影响降到最低。

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